J Korean Radiol Soc.  1994 Jan;30(1):69-76.

Angiographic Findings of Congenital Vascular Malformation in Soft Tissue

• Chung JW
• Park JH
• Choi DS
• Han JK
• Han MC
• Moon WK

Abstract

PURPOSE
We evaluated the clinical, plain radiographic, and anglographic findings of congenital vascular malformation of the soft tissue.
METHODS
AND MATERIALS: Retrospective analysis was performed in 36 patients. Pathological diagnosis was done in 25 patients by surgery and the others were clinically and anglographically diagnosed. On the basis of anglographic findings, we classified the lesions to three groups as arteriovenous malformation(AVM), hemangioma, and venous malformation. In pathologically proven 25 cases, we compared the anglographic diagnosis with the pathologic diagnosis.
RESULTS
By anglographic classification, AVM was 13 cases, hemangioma 16 cases, and venous malformation 7 cases. The locations of the lesions were upper extremities in 14 cases, lower extremities in 20 cases, both extremities in 1 case, and back in 1 case. Clinical findings were bruit and thrill in 13 cases(12 AVMs, 1 hemangioma) and varicosities in 16 cases(11 AVMs, 3 hemangiomas and 2 venous malformations). The varicosities in AVM were pulsating nature, but not in hemangioma and venous realformation. The concordance rate of the anglographic and pathologic diagnosis was 100%(6/6) in AVM, 71%(10/14) in hemangioma and 60% (3/5) in venous malformation.
CONCLUSION
We think that angiography is an essential study for accurate diagnosis and appropriate treatment of congenital vascular malformation.

MeSH Terms

Angiography
Classification
Diagnosis
Extremities
Hemangioma
Humans
Lower Extremity
Retrospective Studies
Upper Extremity
Vascular Malformations*